| NPI | 1992988679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 3924) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401006766) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2020-03-25 |