| NPI | 1730746389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222388) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018161) |
| 101YP2500X Counselor, Professional (Licence: OH 1801410) | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2022-04-18 |