| NPI | 1124352109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY #210) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 210) |
| 101YM0800X Counselor, Mental Health (Licence: WY #210) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2024-03-21 |