| NPI | 1811517378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 2883) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV 2883) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2024-09-30 |