NPI | 1285389437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 22120) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93033) |
101YP2500X Counselor, Professional (Licence: AZ LAC-20012) | |
Enumeration Date | 2022-02-16 |
Last Update Date | 2024-04-17 |