| NPI | 1336689868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451009254) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401009254) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2022-03-02 |