NPI | 1114402831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18358) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75348) |
Enumeration Date | 2018-09-27 |
Last Update Date | 2019-09-17 |