| NPI | 1093171969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY PPC-1265) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NCL.0013575) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2021-07-30 |