| NPI | 1649916859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224751) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 64451019319) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-12-13 |