NPI | 1306112818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008080) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC003171) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2016-03-16 |