NPI | 1811657455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013370) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC3206) |
101YP2500X Counselor, Professional (Licence: LA 7806) | |
101YP2500X Counselor, Professional (Licence: SC 8865) | |
Enumeration Date | 2021-12-22 |
Last Update Date | 2023-06-29 |