| NPI | 1952781809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401016195) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2555-226) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-08-20 |