| NPI | 1023413929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401224134) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: MI 6401014231) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2025-07-11 |