| NPI | 1851630073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00942744) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV DP00942744) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2025-02-25 |