NPI | 1336698331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015985) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT008978) |
101YM0800X Counselor, Mental Health (Licence: GA LPC015985) | |
Enumeration Date | 2016-10-02 |
Last Update Date | 2025-09-15 |