NPI | 1285116095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007708) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC007708) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2019-05-02 |