NPI | 1730826231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22718) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-19853) |
Enumeration Date | 2022-05-16 |
Last Update Date | 2024-02-06 |