NPI | 1538229034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004748) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC004748) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2015-04-15 |