NPI | 1992165997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC010145) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005093) |
Enumeration Date | 2016-03-03 |
Last Update Date | 2020-11-09 |