| NPI | 1588270029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103506) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401224360) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2024-11-19 |