| NPI | 1497904999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA CACII #1760) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC #00907) |
| 101YP2500X Counselor, Professional (Licence: GA LPC#00907) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |