NPI | 1720441694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005462) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL LPC005462) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2016-03-30 |