| NPI | 1386938876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1370) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-1370) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-10-02 |