| NPI | 1861976896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018527) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016576) |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2020-10-12 |