| 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 |