NPI | 1992162812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 72360) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72360) |
101Y00000X Counselor (Licence: TX 723602) | |
Enumeration Date | 2016-01-22 |
Last Update Date | 2024-03-18 |