| NPI | 1154629913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WV 2681) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC006093) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2024-06-11 |