| NPI | 1962266478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451023109) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000001137364) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |