| NPI | 1124302765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 303) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC - 303) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-10-26 |