NPI | 1467449306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ Lpc1899) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC 1899) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2023-09-25 |