| NPI | 1073915567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1588) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-777) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2022-07-21 |