| NPI | 1457969198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014768) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: MI 6401014768) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |