| NPI | 1306415302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93414) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223504) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-12-07 |