| NPI | 1679994545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1901170) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401009261) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2024-02-27 |