NPI | 1467021741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223696) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401019468) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2023-08-16 |