| NPI | 1164237251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2600) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-1518) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2026-07-27 |