NPI | 1629027636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX L.P.C.6541) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 6541) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2018-10-11 |