| NPI | 1467810846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225051) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014990) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2025-04-01 |