| NPI | 1780030072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014707) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014707) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2025-06-20 |