| NPI | 1235469305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019336) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011881) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2023-07-21 |