NPI | 1871253427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006157) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 400337) |
Enumeration Date | 2021-12-22 |
Last Update Date | 2021-12-22 |