NPI | 1376084046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10239-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74395) |
Enumeration Date | 2017-03-15 |
Last Update Date | 2024-02-22 |