| NPI | 1225635568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401007560) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401007560) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-02-26 |