| NPI | 1154771293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WV 2344) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-04-18 |