NPI | 1922623289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA MFT002068z) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MFT002068z) |
Enumeration Date | 2020-06-12 |
Last Update Date | 2024-03-05 |