| NPI | 1689753964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401008930) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C7469) |
| 101YP2500X Counselor, Professional (Licence: MI 6401008930) | |
| 101YP2500X Counselor, Professional (Licence: ME CC6597) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2023-08-17 |