NPI | 1821565433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013681) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 013681) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1249) | |
Enumeration Date | 2018-11-01 |
Last Update Date | 2024-05-13 |