NPI | 1760993984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC005580) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC005580) |
101YP2500X Counselor, Professional (Licence: GA LPC005580) | |
101YS0200X Counselor, School (Licence: GA 867988) | |
Enumeration Date | 2017-10-15 |
Last Update Date | 2019-09-13 |