| NPI | 1164781423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV 101YS0200X) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2013-03-16 |