| NPI | 1881363232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451006999) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401006999) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2023-05-17 |