NPI | 1649405788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV Cp0141) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180009811) |
101YP2500X Counselor, Professional (Licence: AZ LPC-22992) | |
101YP2500X Counselor, Professional (Licence: UT 13788423-6004) | |
Enumeration Date | 2009-05-19 |
Last Update Date | 2025-03-30 |