| NPI | 1669278321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88583) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401224136) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |