| NPI | 1215398987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1701) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-943) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2021-08-16 |