| NPI | 1528446531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223094) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014472) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-01-31 |