| NPI | 1417567512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401016635) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-003656) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |