| NPI | 1811387780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13036) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-010302-2015) |
| 101YP2500X Counselor, Professional (Licence: GA LPC009537) | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2019-07-18 |