| NPI | 1679080089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017975) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017975) |
| 101YP2500X Counselor, Professional (Licence: MI 6401016313) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-01-26 |