| NPI | 1679087092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 10874058-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401008441) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2019-06-25 |