| NPI | 1952413056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1543) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 14-304) |
| 1041C0700X Social Worker, Clinical (Licence: WV AP00938405) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-08-16 |