| NPI | 1417335894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1728) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-929) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-09-22 |