| NPI | 1588201677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222379) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: MI 6401017858) | |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2021-12-22 |