| NPI | 1841904679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013363) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 0120) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-03-24 |