NPI | 1205523792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA APC000880) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional (Licence: TX 83942) | |
Enumeration Date | 2023-04-24 |
Last Update Date | 2025-02-19 |