NPI | 1154186369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014444) |
Additional Taxonomies | 101YS0200X Counselor, School |
103TE1100X Psychologist, Exercise & Sports | |
174H00000X Health Educator | |
Enumeration Date | 2024-02-16 |
Last Update Date | 2024-02-16 |