| NPI | 1376099580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 2209) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 2209) |
| 101Y00000X Counselor (Licence: PA 008639) | |
| 101Y00000X Counselor (Licence: OH 1600094) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-02-01 |