| NPI | 1659771806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC012764) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC012764) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20298) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC012764) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 11153) | |
| 101YP2500X Counselor, Professional (Licence: NC 11153) | |
| 101YP2500X Counselor, Professional (Licence: SC 8203) | |
| 101YP2500X Counselor, Professional (Licence: NC 00119617) | |
| 251S00000X Community/Behavioral Health (Licence: NC 11153) | |
| 101Y00000X Counselor (Licence: NC 11153) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2023-09-23 |