| NPI | 1871015875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224053) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2025-07-21 |