| NPI | 1023678653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1990) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1134) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-10-05 |