| NPI | 1740064294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401226076) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000001230473) |
| 101Y00000X Counselor (Licence: MI 6451023083) | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2026-07-06 |