| NPI | 1205981909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC 1466) |
| 101YP2500X Counselor, Professional (Licence: WY LPC 1466) | |
| 101YP2500X Counselor, Professional (Licence: WY PPC 246) | |
| 101YP2500X Counselor, Professional (Licence: NC NCC202665) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-01-19 |