| NPI | 1649835786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222779) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017870) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2022-08-02 |