| NPI | 1780087411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401018200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI L300491) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2025-11-19 |