| NPI | 1366087520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401222303) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401017896) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2021-12-14 |