| NPI | 1972898252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 3405) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA 1078) |
| 101YM0800X Counselor Mental Health (Licence: LA 3405) | |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional (Licence: LA 3405) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-12-28 |