| NPI | 1376361931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6802065755) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401005922) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-11 |