| NPI | 1982339842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401224586) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451022296) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2024-10-17 |