NPI | 1750066098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014098) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC008107) |
Enumeration Date | 2023-06-15 |
Last Update Date | 2024-04-04 |