NPI | 1417683038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87182) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 87182) |
Enumeration Date | 2022-07-26 |
Last Update Date | 2024-03-04 |