NPI | 1255486965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15942) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 4265) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-07-09 |