| NPI | 1669073367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451015622) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: MI 6401015622) | |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2023-05-04 |