NPI | 1447870167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010158) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 681550) |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-04-22 |