NPI | 1457632481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22207) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005104) |
101YP2500X Counselor, Professional (Licence: OR C7256) | |
101YP2500X Counselor, Professional (Licence: CA LPCC12927) | |
Enumeration Date | 2011-09-04 |
Last Update Date | 2024-10-31 |