| NPI | 1669505806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401009566) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401009566) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-01-24 |