NPI | 1851178248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015333) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 92768) |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |