NPI | 1588917348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006993) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2012-10-17 |
Last Update Date | 2015-05-28 |