| NPI | 1184338972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-2320) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WY PTSB60546) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-08-07 |