| NPI | 1598318339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222523) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017522) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-04-28 |