NPI | 1568219178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 94169) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.016892) |
101YP2500X Counselor, Professional (Licence: WI 11285-125) | |
101YP2500X Counselor, Professional (Licence: IL 178.019129) | |
Enumeration Date | 2024-05-01 |
Last Update Date | 2025-03-25 |