NPI | 1427718501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014892) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC008304) |
Enumeration Date | 2021-12-30 |
Last Update Date | 2024-07-23 |