| NPI | 1396059531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY LPC-1763) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: AZ LPC-21534) | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2023-08-14 |