| NPI | 1619630852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013272) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC14265) |
| 101Y00000X Counselor (Licence: MD LGP11839) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC14265) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC14265) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC013272) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC013272) | |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2024-06-05 |