| NPI | 1649887647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019858) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401017586) |
| 101YP2500X Counselor, Professional (Licence: MI 6451017586) | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-09-18 |