| NPI | 1093361248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222400) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017572) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-01-05 |