NPI | 1316792120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224412) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0019475) |
Enumeration Date | 2024-04-23 |
Last Update Date | 2024-07-03 |