NPI | 1043575632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011930) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011930) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2023-11-22 |