| NPI | 1649767286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222275) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401009390) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2022-03-16 |