| NPI | 1619528536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401225789) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016299) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2026-04-30 |