NPI | 1275869265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-12212) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1163-LCPC) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2009-10-26 |