| NPI | 1891399655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401020276) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016892) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2021-11-09 |