| NPI | 1982761219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3167-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223343) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-12-05 |