NPI | 1770987414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006353) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 006353) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2015-04-07 |