| NPI | 1386239184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019991) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012767) |
| 101YP2500X Counselor, Professional (Licence: CA 7906) | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2024-04-02 |