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 |