| NPI | 1770896284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C00900455) |
| 101YP2500X Counselor, Professional (Licence: MI 6401014401) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2023-12-28 |