NPI | 1417279316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010164) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA CPCS4359) |
101YP2500X Counselor, Professional (Licence: CA LPCC17939) | |
101YP2500X Counselor, Professional (Licence: MI 6401004002) | |
101YP2500X Counselor, Professional (Licence: OR C9773) | |
Enumeration Date | 2010-02-18 |
Last Update Date | 2025-10-09 |