| NPI | 1366683013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1509) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008019428) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2022-07-21 |