NPI | 1528332913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010475) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC010475) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2012-03-02 |
Last Update Date | 2021-02-16 |