| NPI | 1609358852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401018897) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401016807) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-06-09 |