| NPI | 1467996934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015253) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO CO0005374) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2024-08-21 |