NPI | 1326286451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC.2053) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 782) |
101YP2500X Counselor, Professional (Licence: CO LPC.0000782) | |
101YP2500X Counselor, Professional (Licence: ID LCPC.8732) | |
Enumeration Date | 2009-01-27 |
Last Update Date | 2022-08-10 |