NPI | 1881090199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009956) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004649) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2018-01-04 |