NPI | 1366751273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC 2850) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005002) |
Enumeration Date | 2010-09-27 |
Last Update Date | 2013-11-14 |