| 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 |