| NPI | 1003496928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014001) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LPC014001) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 9511) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 9511) | |
| 101YP2500X Counselor, Professional (Licence: LPC014001) | |
| 101YP2500X Counselor, Professional (Licence: SC 9511) | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-02-20 |