| NPI | 1497159685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC0026575) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL CAP2463) |
| 101YM0800X Counselor Mental Health (Licence: FL MH7146) | |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2014-10-16 |