| NPI | 1033523238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88053) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012554) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2026-03-31 |