| NPI | 1508640624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC014056) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC014056) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC014056) | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |