NPI | 1255583456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-13082) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC-12688) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2023-03-10 |