| NPI | 1265931935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY 1921) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health (Licence: WY 1034) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2025-09-10 |