| NPI | 1699217372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014782) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017682) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2021-01-27 |