| NPI | 1295959393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003561) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC003561) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC003561) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC003561) | |
| 171M00000X Case Manager/Care Coordinator (Licence: GA LPC003561) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-04-08 |