| NPI | 1568653913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO SW003197) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO SW003197) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO SW003197) | |
| 101YM0800X Counselor, Mental Health (Licence: MO SW003197) | |
| 101YS0200X Counselor, School (Licence: MO SW003197) | |
| 1041C0700X Social Worker, Clinical (Licence: MO SW003197) | |
| 1041S0200X Social Worker, School (Licence: MO SW003197) | |
| 106H00000X Marriage & Family Therapist (Licence: MO SW003197) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |