| NPI | 1891471082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225360) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451023038) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-08-14 |