| NPI | 1669949384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014036) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 4076219) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |