| NPI | 1912242785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC009004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009004) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC009004) | |
| 101YP2500X Counselor, Professional (Licence: NC 16988) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 16988) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC009004) | |
| 101Y00000X Counselor (Licence: NC 16988) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 16988) | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management (Licence: GA LD004513) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: GA LD004513) | |
| 133V00000X Dietitian, Registered (Licence: GA LD004513) | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2026-04-14 |