| NPI | 1508596891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451022365) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-10-17 |