NPI | 1225429202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 58746) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 58746) |
Enumeration Date | 2015-02-11 |
Last Update Date | 2024-10-20 |