| NPI | 1912322561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S14065) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014097) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2024-03-22 |