| NPI | 1215454699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945155) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV CP00945155) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2020-12-23 |