| NPI | 1871698530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 38) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV CP00451570) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |