NPI | 1437740552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 13534776-6004) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 79716) |
Enumeration Date | 2021-02-01 |
Last Update Date | 2024-08-29 |