| NPI | 1255770004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013444) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013444) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2025-09-16 |