| NPI | 1740624311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 22683) |
| 174H00000X Health Educator | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251V00000X Voluntary or Charitable | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 1041C0700X Social Worker, Clinical | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2025-10-02 |