| NPI | 1821388158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012347) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012347) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2025-08-07 |