| NPI | 1245643964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008217) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC008217) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC008217) | |
| 106H00000X Marriage & Family Therapist (Licence: GA LPC008217) | |
| 101Y00000X Counselor (Licence: GA LPC008217) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2016-10-12 |