NPI | 1902220825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007481) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 462269) |
Enumeration Date | 2014-02-12 |
Last Update Date | 2021-04-01 |