NPI | 1770603052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1113) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00941320) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2007-07-08 |