| NPI | 1104346048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401017404) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401016110) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-10-26 |