| NPI | 1205596384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2230) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1286) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2023-12-12 |