| NPI | 1740318724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA 7214) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 7214) |
| 104100000X Social Worker (Licence: LA 7214) | |
| 1041C0700X Social Worker Clinical (Licence: LA 7215) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 7214) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |