NPI | 1093966087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006478) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC002101) |
Enumeration Date | 2008-10-08 |
Last Update Date | 2012-09-01 |