| 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 |