| NPI | 1295580397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 0019842) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 0019842) |
| 104100000X Social Worker (Licence: CO 0019842) | |
| 1041C0700X Social Worker Clinical (Licence: CO 0019842) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 0019842) | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |