| NPI | 1093978744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1233) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-419) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2017-02-18 |