| NPI | 1437600988 |
|---|---|
| Other Name | NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6607) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: LA 6607) |
| 106H00000X Marriage & Family Therapist (Licence: LA 6607) | |
| 251B00000X Case Management (Licence: LA 6607) | |
| 251S00000X (Licence: LA 6607) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 6607) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 6607) | |
| 101Y00000X Counselor (Licence: LA 6607) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-09-28 |