NPI | 1770594624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 13891) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 10521) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2023-03-27 |