NPI | 1871993840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014365) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401014365) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2018-05-04 |