| NPI | 1477745719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM LW00009392) |
| 101YM0800X Counselor, Mental Health (Licence: WA LW00009392) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: WA LW00009392) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW00009392) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LW00009392) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2021-11-10 |