| NPI | 1003911348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006320) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 229340) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA C0101) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-05-20 |