| NPI | 1689789851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3177-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2054-132) |
| 106H00000X Marriage & Family Therapist (Licence: WI 430-124) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-02-14 |