NPI | 1225642267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19200) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 16885) |
101YM0800X Counselor, Mental Health (Licence: AZ LPC-19200) | |
101YP2500X Counselor, Professional (Licence: AZ 16885) | |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-08 |