| NPI | 1396071775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65399) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2026-07-09 |