| NPI | 1316902588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC 1059) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH7919) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-03-18 |