NPI | 1134577190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014707) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC014707) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2025-01-22 |