| NPI | 1134680382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WV 14) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 14) |
| 101YM0800X Counselor, Mental Health (Licence: OH F.150025) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2021-11-23 |