| NPI | 1073211819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8518) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010161) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-03-13 |