| NPI | 1942193750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451024338) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451024338) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-06-06 |