| NPI | 1255009528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 7201000209) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 3126323) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-12-13 |