NPI | 1235474875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC#10043) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LISAC#1435) |
Enumeration Date | 2012-12-09 |
Last Update Date | 2012-12-09 |