NPI | 1154590073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC005485) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC005485) |
101YP1600X Counselor Pastoral (Licence: GA LPC005485) | |
Enumeration Date | 2008-02-25 |
Last Update Date | 2009-01-05 |