| NPI | 1235591942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 3227) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC 1562) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-11-12 |