| NPI | 1538531488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1973) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 1973) |
| 101YM0800X Counselor, Mental Health (Licence: WV 1973) | |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2024-05-14 |