| NPI | 1396998571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY PPC-446) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1174) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2015-08-31 |