NPI | 1215126099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011286) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6769) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2024-03-19 |