| NPI | 1447466768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7234) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-05-17 |