| NPI | 1578343182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401226260) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451023188) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2026-05-19 |