| NPI | 1801917323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO SW000276) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO SW000276) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO SW000276) | |
| 102L00000X Psychoanalyst (Licence: MO SW000276) | |
| 101Y00000X Counselor (Licence: MO SW000276) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |