NPI | 1144896010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95903) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011798) |
Enumeration Date | 2021-06-01 |
Last Update Date | 2024-10-23 |