| NPI | 1275806622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 1486) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: WY 668) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2017-02-15 |