| NPI | 1851830798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 60401014783) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401014783) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2024-01-11 |