| NPI | 1013459155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401015500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015500) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2022-09-18 |