| NPI | 1467018184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019335) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016739) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2021-06-04 |