| NPI | 1750605911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2006022574) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2006022574) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 2006022574) | |
| 101YM0800X Counselor Mental Health (Licence: MO 2006022574) | |
| 101YP2500X Counselor Professional (Licence: MO 2006022574) | |
| 104100000X Social Worker (Licence: MO 2006022574) | |
| 1041S0200X Social Worker School (Licence: MO 2006022574) | |
| 106H00000X Marriage & Family Therapist (Licence: MO 2006022574) | |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2013-05-06 |