| NPI | 1144520693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LPC-1469) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC 1469) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2022-05-23 |