NPI | 1467778621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-14213) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-13244) |
Enumeration Date | 2010-04-13 |
Last Update Date | 2013-07-15 |