| 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 |