| NPI | 1255990834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 530) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |