NPI | 1871115097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-21464) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC18499) |
Enumeration Date | 2020-05-11 |
Last Update Date | 2024-03-25 |