NPI | 1952922189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-18926) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-18926) |
Enumeration Date | 2020-04-28 |
Last Update Date | 2024-03-26 |