| NPI | 1932699741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017347) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401015749) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-07-30 |