| NPI | 1265997472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6451021975) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2022-08-31 |