| NPI | 1336198381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 1521) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-04-06 |