NPI | 1508369398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC4894) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-10947) |
Enumeration Date | 2018-03-17 |
Last Update Date | 2018-03-17 |