| NPI | 1740734060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223461) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6238) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-01-11 |