NPI | 1366888232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-20955) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0153861) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2024-10-10 |