| NPI | 1033763164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1955) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-1136) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2021-07-02 |