| NPI | 1447067509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88405) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401224896) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2026-04-08 |