| NPI | 1881955177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017012473) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2017012473) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2017012473) | |
| 106H00000X Marriage & Family Therapist (Licence: MO 2017012473) | |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2024-09-03 |