NPI | 1003449273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013901) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-02-17 |
Last Update Date | 2023-07-17 |