| NPI | 1730701095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222763) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018045) |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2024-05-16 |