| NPI | 1245690841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017043246) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: VA 07010115795) | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School (Licence: MO 2017043246) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2026-04-29 |