| NPI | 1316009053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009612) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000414A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39000270A) | |
| 101YP2500X Counselor, Professional (Licence: GA 009612) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34002589A) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-04-24 |