| NPI | 1861056590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2416) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2026-03-24 |