| NPI | 1558702878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943450) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV BP00943450) |
| 104100000X Social Worker (Licence: WV BP00943450) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-04-06 |