| NPI | 1609551159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6451014733) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |