| NPI | 1871928895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943557) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV DP00943557) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2023-09-24 |