| NPI | 1598765299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 936) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV CP00450679) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2012-02-08 |