| NPI | 1932569092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12180) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401225591) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2025-09-24 |