NPI | 1013141043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6780) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64401) |
101YP2500X Counselor, Professional (Licence: SC 7006) | |
Enumeration Date | 2009-05-05 |
Last Update Date | 2018-12-18 |