| NPI | 1902476252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401223710) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451019543) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2023-10-22 |