NPI | 1508297979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66362) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 66362) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2016-10-20 |