| NPI | 1205184322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1866) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2020-06-08 |