| NPI | 1245885730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015569) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2020-03-24 |