| NPI | 1124272471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006876) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC006876) |
| 103K00000X Behavior Analyst | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional (Licence: GA 006876) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2016-06-16 |