| NPI | 1841942455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83826) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401224091) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-03-27 |