| NPI | 1932488319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401222668) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YP2500X Counselor Professional (Licence: MI L2000973) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2023-04-17 |