| NPI | 1770907248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: GA 02155627 DUAL) |
| 101YP1600X Counselor, Pastoral (Licence: GA 02155627) | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst (Licence: NC 960065254) | |
| 104100000X Social Worker (Licence: GA 80056542) | |
| 106H00000X Marriage & Family Therapist (Licence: GA 02155627) | |
| 106H00000X Marriage & Family Therapist (Licence: GA 02155627 DUAL) | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21418975) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2020-10-08 |