| NPI | 1881025591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006372) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC006372) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC006372) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2019-12-02 |