NPI | 1295910271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-15208) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3999-125) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2015-06-07 |