| NPI | 1124635909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401017523) |
| 101YP2500X Counselor Professional (Licence: MI 6401017523) | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2022-11-14 |