| NPI | 1669615274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011178) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2021-12-21 |