NPI | 1265107650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2940) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88472) |
Enumeration Date | 2021-08-09 |
Last Update Date | 2023-01-10 |