| NPI | 1720626534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88491) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401222939) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2026-03-05 |