| NPI | 1316317803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 2032) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC-921) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-06-16 |