NPI | 1831418706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-16093) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-12485) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2020-04-02 |