NPI | 1841703436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009570) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC009570) |
Enumeration Date | 2017-11-06 |
Last Update Date | 2017-11-06 |