NPI | 1134424187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ 10342) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ NCC63702) |
Enumeration Date | 2011-01-24 |
Last Update Date | 2011-01-24 |