| NPI | 1376947580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LCSW-1042) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PCSW-560) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2022-07-21 |