NPI | 1194483750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019752) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-23361) |
101YP2500X Counselor, Professional (Licence: IL 178020072) | |
101YP2500X Counselor, Professional (Licence: MD LC15084) | |
101YP2500X Counselor, Professional (Licence: NV CP5669-R) | |
Enumeration Date | 2021-12-01 |
Last Update Date | 2024-12-11 |