| NPI | 1467160515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 2776) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 2776) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701010735) | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-11-07 |