| NPI | 1679958771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC008241) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional (Licence: LA 6233) | |
| 106H00000X Marriage & Family Therapist (Licence: GA LPC08241) | |
| 221700000X Art Therapist (Licence: GA LPC8241) | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: GA LPC008241) | |
| 225A00000X Music Therapist (Licence: GA LC008241) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2018-11-26 |