| 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 |