NPI | 1790213940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014844) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 96434) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2025-01-07 |