NPI | 1245892090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2160) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1249) |
101Y00000X Counselor | |
172V00000X Community Health Worker | |
Enumeration Date | 2019-07-02 |
Last Update Date | 2023-05-24 |