NPI | 1568351419 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89272) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-07-02 |