NPI | 1700145323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007735) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002985) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2016-09-25 |