NPI | 1992844617 |
---|---|
Former Name | ELIZABETH ANNE MCGINTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC005367) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA LPC2551) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-12-02 |