NPI | 1083289375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80816) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.013178) |
Enumeration Date | 2021-05-20 |
Last Update Date | 2024-05-22 |