| NPI | 1740520113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018384) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011312) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2021-10-19 |