| NPI | 1477629152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 1169) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2024-05-30 |