| NPI | 1932612561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222618) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015036) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-04-08 |