NPI | 1124508452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011000) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005453) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2023-09-29 |