| NPI | 1972820066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1187) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0500040) |
| 104100000X Social Worker (Licence: WV AP00940165) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |