| NPI | 1003344565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017219) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401015916) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-12-05 |