NPI | 1063854636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YS0200X Counselor, School | |
104100000X Social Worker | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2013-07-24 |
Last Update Date | 2017-03-28 |