| NPI | 1043047186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 5700C) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AL 5700C) |
| 101YM0800X Counselor Mental Health (Licence: AL 5700C) | |
| 101YP2500X Counselor Professional (Licence: AL 5700C) | |
| 104100000X Social Worker (Licence: AL 5700C) | |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |