| NPI | 1447584511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY 435) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 435) |
| 101YM0800X Counselor Mental Health (Licence: WY 435) | |
| 101YP2500X Counselor Professional (Licence: WY 1149) | |
| 101YS0200X Counselor School (Licence: WY 435) | |
| 103TS0200X Psychologist School (Licence: WY 435) | |
| 251B00000X Case Management (Licence: WY 435) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: WY 435) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2018-03-17 |