NPI | 1285359182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23847) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19894) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2022-10-04 |
Last Update Date | 2025-04-28 |