| NPI | 1972110674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008507) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA Lpc008507) |
| 101YM0800X Counselor, Mental Health (Licence: GA Lpc008507) | |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2021-06-18 |