NPI | 1053206664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015461) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC015461) |
101YM0800X Counselor, Mental Health (Licence: GA LPC015461) | |
Enumeration Date | 2025-06-12 |
Last Update Date | 2025-06-12 |