NPI | 1689353807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA 006951) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 71406) |
101Y00000X Counselor (Licence: CA 4856) | |
Enumeration Date | 2023-07-14 |
Last Update Date | 2023-07-14 |