NPI | 1215560594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC-0016036) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85755) |
Enumeration Date | 2020-02-14 |
Last Update Date | 2025-10-09 |