NPI | 1841551892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L7934) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7934) |
106H00000X Marriage & Family Therapist (Licence: OR L7934) | |
171M00000X Case Manager/Care Coordinator (Licence: OR L7934) | |
Enumeration Date | 2012-06-06 |
Last Update Date | 2019-01-29 |