| NPI | 1205413291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2018035224) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 2018035224) |
| 101YM0800X Counselor Mental Health (Licence: MO 2018035224) | |
| 101Y00000X Counselor (Licence: MO 2018035224) | |
| 106H00000X Marriage & Family Therapist (Licence: MO 2018035224) | |
| 251B00000X Case Management (Licence: MO 2018035224) | |
| 251S00000X Community/Behavioral Health (Licence: MO 2018035224) | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: MO 201835224) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MO 2018035224) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-04-27 |