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 |