NPI | 1053747949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007855) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC007855) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2018-02-16 |