| NPI | 1063389773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2519) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-9381302) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2026-06-01 |