| NPI | 1407186091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV BP03942624) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP03942624) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2026-05-18 |