| NPI | 1386198828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC008620) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC008620) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA LPC008620) | |
| 101YM0800X Counselor Mental Health (Licence: GA LPC008620) | |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2021-10-20 |