NPI | 1689160475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8257) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74772) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2023-02-06 |