| NPI | 1568177020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225023) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451022572) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-03-11 |