| NPI | 1134894256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223706) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451019506) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-09-18 |