| NPI | 1174793343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006101) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC006101) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA LPC006101) | |
| 101YM0800X Counselor Mental Health (Licence: GA LPC006101) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2019-02-18 |