| NPI | 1528482262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 69971) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013170) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-02-13 |