| NPI | 1992721575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 99-109) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV DP00454307) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00454307) | |
| 106H00000X Marriage & Family Therapist (Licence: WV DP00454307) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |