NPI | 1104537380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014369) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC007904) |
101YP2500X Counselor, Professional (Licence: GA 014369) | |
Enumeration Date | 2022-12-08 |
Last Update Date | 2024-02-15 |