NPI | 1760945414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015169) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 6401015169) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-06-11 |