| NPI | 1285130583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018768) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016598) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2021-01-04 |