| NPI | 1588318372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2826) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 662) |
| 101YM0800X Counselor, Mental Health (Licence: WV 2826) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2025-03-17 |