| NPI | 1194105510 |
|---|---|
| Former Name | MOLLY ROSE DINKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC-822) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2020-07-22 |