| NPI | 1144748062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY LPC-1823) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1090) |
| 101YP2500X Counselor Professional (Licence: CO LPCC.0015518) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-10-11 |