| NPI | 1457713257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014747) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA lpc013245) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-04-18 |