NPI | 1629623939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3929) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 10472) |
Enumeration Date | 2019-08-04 |
Last Update Date | 2019-08-20 |