| NPI | 1154090124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI5451) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451019792) |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2025-02-11 |