NPI | 1508225400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC19007) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010956) |
101YP2500X Counselor, Professional (Licence: CA LPCC12356) | |
Enumeration Date | 2016-02-19 |
Last Update Date | 2024-08-08 |