NPI | 1447640990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009964) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC009964) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health (Licence: GA LPC009964) | |
251S00000X | |
Enumeration Date | 2015-02-04 |
Last Update Date | 2023-10-04 |