| NPI | 1023153004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 6473343-6004) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1765) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-10-20 |