NPI | 1811389455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009847) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC00358) |
101YM0800X Counselor, Mental Health (Licence: GA LPC009847) | |
Enumeration Date | 2015-02-18 |
Last Update Date | 2024-04-01 |