NPI | 1164053377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78589) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: PA 473506) |
101YS0200X Counselor, School (Licence: AL RDH-0117-6228) | |
Enumeration Date | 2020-01-28 |
Last Update Date | 2020-01-28 |