NPI | 1396349304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011580) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 246091) |
Enumeration Date | 2020-11-30 |
Last Update Date | 2020-11-30 |