| NPI | 1598886293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV 1523) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 1523) |
| 101YM0800X Counselor, Mental Health (Licence: WV 1523) | |
| 101YP2500X Counselor, Professional (Licence: WV 1523) | |
| 104100000X Social Worker (Licence: WV AP00941762) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |