NPI | 1932494747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013165) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15059) |
Enumeration Date | 2011-06-09 |
Last Update Date | 2023-05-19 |