| NPI | 1548851967 |
|---|---|
| Former Name | MACY ELAINE PAWELEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 78295) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2023-07-12 |