NPI | 1013550250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011189) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC011189) |
Enumeration Date | 2019-10-21 |
Last Update Date | 2021-01-22 |