| NPI | 1659663086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003014) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: GA LPC003014) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC003014) | |
| 101Y00000X Counselor (Licence: GA LPC003014) | |
| 171400000X Health & Wellness Coach (Licence: GA LPC003014) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC003014) | |
| 106H00000X Marriage & Family Therapist (Licence: GA LPC003014) | |
| 101YP1600X Counselor, Pastoral (Licence: GA LPC003014) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2025-11-30 |