| 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 |