| NPI | 1194272104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2152) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1172) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-04-01 |