NPI | 1275871113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-14057) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-14057) |
Enumeration Date | 2013-01-28 |
Last Update Date | 2024-03-14 |