NPI | 1356105035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC15226) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC12396) |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-12 |