NPI | 1104242528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5400-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013488) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2024-01-29 |