NPI | 1588216048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222851) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0019661) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2024-04-19 |