| NPI | 1336629559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451023414) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2026-04-10 |