| NPI | 1376947770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC1666) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC 853) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2018-06-25 |