| NPI | 1457120479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451023626) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-06-18 |