| NPI | 1871826263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC008117) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 1597264) |
| 101Y00000X Counselor (Licence: NC 254324) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 508999) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2016-09-02 |