| NPI | 1730637216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704202723) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2026-07-01 |