| NPI | 1073892725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014207) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-616) |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1334) | |
| 101YP2500X Counselor, Professional (Licence: NM CCMH0214791) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2021-09-11 |