| NPI | 1134769581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2189) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: WY PPC-1171) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2023-12-07 |