| NPI | 1952602211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WV 1536) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: WV 1536) |
| 101YP2500X Counselor Professional (Licence: WV 1536) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2020-07-31 |