| NPI | 1063914869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY 1828) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC-1056) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-01-17 |