| NPI | 1942759899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224845) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2014044331) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2025-01-23 |