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 |