NPI | 1003386855 |
---|---|
Former Name | SABRINA LANDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21354) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-17659) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2024-01-30 |