NPI | 1295744464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17882) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009321) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2016-12-27 |