| NPI | 1043231913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007985) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 1385) |
| 103T00000X Psychologist (Licence: WV 836) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2023-12-20 |