| NPI | 1669271821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017906) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401226240) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2026-08-10 |