| NPI | 1235743519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2354) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1208) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2026-02-18 |