| 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 |