| NPI | 1205597317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3299) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017863) |
| 251B00000X Case Management (Licence: 4243838) | |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-01-02 |