| NPI | 1023331634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2005024275) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-1024) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |