| NPI | 1144816398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY 307) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 301) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2025-10-15 |