| NPI | 1225483233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV BP00943769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 20425) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |