| NPI | 1669816278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 8217-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16547-130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15830-131) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 128308-121) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2021-02-26 |