NPI | 1699372201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21798) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-19180) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2023-09-12 |