| NPI | 1689026650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 2825-226) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401015458) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-05-06 |