| NPI | 1396890489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004710) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1780) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA NCACI013944) | |
| 101YM0800X Counselor, Mental Health (Licence: GA NCC88694) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-10-03 |