| NPI | 1013557271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC-1170) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2023-08-22 |