| NPI | 1376759910 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1809) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: WV AP00939662) | 
| Enumeration Date | 2007-05-14 | 
| Last Update Date | 2025-04-10 |