NPI | 1710470489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CBT-2022-0761) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75454) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2025-02-25 |