NPI | 1235644139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012567) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC012567) |
Enumeration Date | 2017-12-13 |
Last Update Date | 2025-01-16 |