| NPI | 1467881334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 18488) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007672) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2024-05-16 |