| NPI | 1821375445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 5194) |
| 101YP2500X Counselor Professional (Licence: LA 5194) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: LA 5194) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: LA 5194) | |
| 1041C0700X Social Worker Clinical (Licence: LA 5194) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 5194) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2019-05-29 |