| NPI | 1336651066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224593) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 374700000X Technician (Licence: MI L52572) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2024-10-23 |