NPI | 1811057466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18267) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC000582) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |