| NPI | 1922462415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 640101637) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-12-28 |