| NPI | 1265977011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017275) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015679) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2020-12-03 |