| NPI | 1255770731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY PPC-739) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WY PPC-739) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-10-03 |