NPI | 1134594328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83340) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: TX 83340) |
Enumeration Date | 2015-12-14 |
Last Update Date | 2024-06-12 |