NPI | 1144864190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 011206) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 19524) |
Enumeration Date | 2019-11-03 |
Last Update Date | 2024-03-19 |