NPI | 1457414773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-2503) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-2503) |
101YP2500X Counselor, Professional (Licence: AZ LPC-2503) | |
101YP2500X Counselor, Professional (Licence: MT 1221-LCPC) | |
101YP2500X Counselor, Professional (Licence: AZ CC 2503) | |
Enumeration Date | 2006-12-18 |
Last Update Date | 2024-02-05 |