NPI | 1821431446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006875) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8337) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2013-04-12 |