| NPI | 1164043048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018716) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-11-05 |