| NPI | 1093241515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1749) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0003993) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-12-11 |