NPI | 1790106235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 75721) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 12696) |
Enumeration Date | 2013-12-31 |
Last Update Date | 2017-02-27 |