| NPI | 1033546502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY PPC-775) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX NNC-311844) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |