| NPI | 1841995941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN062672) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPN062672) | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |