NPI | 1588295679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022245) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-18708) |
Enumeration Date | 2020-01-28 |
Last Update Date | 2025-09-05 |