| NPI | 1225471642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC-2042) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1184) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: WY LPC-2042) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2023-12-15 |