| NPI | 1881049617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401222651) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2023-01-19 |