NPI | 1013574037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019167) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017177) |
Enumeration Date | 2019-05-24 |
Last Update Date | 2021-05-18 |