NPI | 1821488222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15353) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-15353) |
Enumeration Date | 2015-01-23 |
Last Update Date | 2020-10-20 |