| NPI | 1386662161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC1188) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4969) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-04-12 |