| NPI | 1083958235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401018387) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016431) |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2022-08-08 |