NPI | 1750798393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16635) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LAC-14510) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2017-06-19 |