| NPI | 1083901334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008434) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1994) |
| 225C00000X Rehabilitation Counselor (Licence: 00111394) | |
| 101YP2500X Counselor, Professional (Licence: LPC008434) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2023-11-07 |