| NPI | 1720328370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700293) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013862) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2022-07-21 |