NPI | 1033970272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014801) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007744) |
Enumeration Date | 2024-01-16 |
Last Update Date | 2025-06-02 |