| NPI | 1649831280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401224849) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-04-06 |