NPI | 1629507751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 98090) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180014528) |
101YP2500X Counselor, Professional (Licence: IL 178012473) | |
101YP2500X Counselor, Professional (Licence: CO 0019228) | |
Enumeration Date | 2017-06-12 |
Last Update Date | 2025-06-25 |