| NPI | 1699782383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 720) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA 602) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NAADAC12341) | |
| 103T00000X Psychologist (Licence: GA 720) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2024-06-10 |