| NPI | 1538716931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102143) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016030) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-02-25 |