| NPI | 1235343542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC 5007) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-1042) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-12-03 |