| NPI | 1376741777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 101701) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007811) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2026-05-17 |