| NPI | 1417391780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY PPC949) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WY 251B00000X) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2016-06-28 |