NPI | 1851562508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005258) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LAPC1057) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2013-02-26 |