| NPI | 1992392237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401222879) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401018408) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-07-25 |