| NPI | 1134473424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013381) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1100230) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2023-12-20 |