NPI | 1235375981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8032) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC 13800) |
Enumeration Date | 2008-12-31 |
Last Update Date | 2025-04-16 |