| NPI | 1801953187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV LPC 1550) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-02-26 |