| NPI | 1184386708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401223519) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451019387) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2024-01-16 |