NPI | 1962808105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20658) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-20658) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2024-02-29 |