| NPI | 1427453430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013234) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013234) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2020-05-21 |