NPI | 1245622752 |
---|---|
Other Name | LIZ KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC008089) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC008089) |
101YP1600X Counselor Pastoral (Licence: GA LPC008089) | |
101YP2500X Counselor Professional (Licence: GA LPC008089) | |
106H00000X Marriage & Family Therapist (Licence: GA LPC008089) | |
Enumeration Date | 2015-02-21 |
Last Update Date | 2015-02-21 |