| NPI | 1922246651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC 005232) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 267) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA CAC11-1903) | |
| 101YM0800X Counselor, Mental Health (Licence: OH LPC 0012407) | |
| 104100000X Social Worker (Licence: OH S 0012407) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |