| NPI | 1033495627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC1399) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 810) |
| 101YM0800X Counselor, Mental Health (Licence: 3909) | |
| 101YP2500X Counselor, Professional (Licence: NE 1939) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT348) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2015-12-16 |