NPI | 1790445526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0016819) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80023) |
Enumeration Date | 2021-12-21 |
Last Update Date | 2021-12-21 |