NPI | 1346648847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011066) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL LMHC20619) |
101YM0800X Counselor, Mental Health (Licence: FL IMH10250) | |
101YP2500X Counselor, Professional (Licence: FL MH20619) | |
Enumeration Date | 2014-12-15 |
Last Update Date | 2023-05-02 |