NPI | 1528430808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-15472) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223738) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2024-08-20 |