| NPI | 1336898048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 10673-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 10673-125) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 10673-125) | |
| 101YM0800X Counselor Mental Health (Licence: WI 10673-125) | |
| 106H00000X Marriage & Family Therapist (Licence: WI 10673-125) | |
| 222Q00000X Developmental Therapist (Licence: WI 10673-125) | |
| 225XM0800X Occupational Therapist Mental Health (Licence: WI 10673-125) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2023-10-23 |