NPI | 1164074571 |
---|---|
Former Name | EARNESTINE HILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC010563) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2019-07-15 |
Last Update Date | 2024-01-29 |