| NPI | 1396197638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1135) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY 042) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |