NPI | 1003360256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2116) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 86963) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2023-06-23 |