| NPI | 1740351014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 6401012338) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: MI 6401012338) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2022-08-03 |