NPI | 1326314667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007455) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA NCC 259849) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2012-03-30 |
Last Update Date | 2024-06-20 |