| NPI | 1629589171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MI 778071) |
| 101YP1600X Counselor, Pastoral (Licence: 5535479) | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2022-11-11 |