NPI | 1932474640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008958) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC003345) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2024-03-29 |