| NPI | 1205233764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014563) |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2020-12-03 |