NPI | 1942471081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC-12660) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-12660) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-03-17 |