| NPI | 1083985733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC 1475) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1475) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2020-07-01 |