| NPI | 1548596869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 013622) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: MI 6401011452) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2023-07-19 |