NPI | 1639613243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008462) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010706) |
Enumeration Date | 2016-12-16 |
Last Update Date | 2022-12-05 |