| NPI | 1265022396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401223225) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451019033) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2023-05-02 |