| NPI | 1942692926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017765) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 10630-125) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2024-09-10 |