NPI | 1184187502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86343) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180011423) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2023-12-07 |