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 |