| NPI | 1952068710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451018265) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401222970) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2022-09-02 |