| NPI | 1659697530 |
|---|---|
| Former Name | ANDREA M. GODFREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC 3201) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 11581) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2022-02-21 |