| NPI | 1417555129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 7511) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 7511) |
| 1041S0200X Social Worker, School (Licence: LA 7511) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 7511) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 7511) | |
| 101YP2500X Counselor, Professional (Licence: LA 7511) | |
| 102L00000X Psychoanalyst (Licence: LA 7511) | |
| 103K00000X Behavior Analyst (Licence: LA 7511) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 7511) | |
| 106S00000X Behavior Technician (Licence: LA 7511) | |
| 171000000X Military Health Care Provider (Licence: LA 7511) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 7511) | |
| 174H00000X Health Educator (Licence: LA 7511) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 7511) | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2021-02-02 |