| NPI | 1770002719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401017510) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-12-27 |