| NPI | 1073874244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL LMHC22200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1223) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-07-03 |