| NPI | 1750138194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 70736) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401226087) |
| 101YP2500X Counselor, Professional (Licence: ID 2571184) | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2026-05-04 |