| NPI | 1316402829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 6401018035) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401015206) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2022-11-18 |