| NPI | 1720667108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401222264) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401017518) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2023-01-03 |