| NPI | 1316255292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008840) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004902) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-01-20 |