| NPI | 1669986386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401019136) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MI 137516) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2022-05-01 |