| NPI | 1265205132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223123) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |