| NPI | 1376151589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223028) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018417) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-03-13 |