| NPI | 1457101875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 94658) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401013365) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |