| NPI | 1184378192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 2018) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC2018) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-09 |