| NPI | 1255930640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401223173) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451015089) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2024-03-03 |