| NPI | 1275793325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1020) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3873) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2014-09-04 |