NPI | 1912623398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-22508) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YS0200X Counselor, School | |
Enumeration Date | 2022-10-17 |
Last Update Date | 2024-11-06 |