| NPI | 1245959030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401225200) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2025-07-10 |