NPI | 1154656023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006241) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001781) |
Enumeration Date | 2009-10-12 |
Last Update Date | 2018-03-26 |