NPI | 1427398551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC13592) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA MFC29876) |
Enumeration Date | 2013-02-27 |
Last Update Date | 2013-02-27 |