| NPI | 1487194890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015287) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 00216924) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2023-10-21 |