| NPI | 1699034306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401222842) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401013075) |
| 101Y00000X Counselor | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-05-30 |