| NPI | 1184378077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 1695) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0005486) |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1695) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2026-04-15 |