NPI | 1407499411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79314) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0016889) |
Enumeration Date | 2019-10-22 |
Last Update Date | 2024-04-03 |