NPI | 1053951913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAMFT-10664) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-18525) |
Enumeration Date | 2020-01-08 |
Last Update Date | 2020-01-08 |