NPI | 1730548900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6101018566) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013754) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2025-05-22 |