| NPI | 1063261147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WV L9A131700210) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-29 |