NPI | 1316685787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015340) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YP2500X Counselor, Professional (Licence: GA APC008849) | |
Enumeration Date | 2022-05-25 |
Last Update Date | 2024-12-12 |