| NPI | 1063948198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401013699) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013699) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2021-06-24 |