NPI | 1770182461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19318) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC19318) |
Enumeration Date | 2020-10-22 |
Last Update Date | 2024-06-11 |