NPI | 1730495508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64076) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 013858) |
101YP2500X Counselor, Professional (Licence: SD 20874) | |
Enumeration Date | 2010-08-31 |
Last Update Date | 2024-04-06 |