| NPI | 1740770114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017860) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-01-05 |