NPI | 1235675398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 2161) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WV 60058) |
Enumeration Date | 2017-01-13 |
Last Update Date | 2017-01-13 |