NPI | 1346835287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC012075) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC006664) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2023-12-12 |