| NPI | 1023617297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223067) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018726) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-10-03 |