| NPI | 1447779038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY LPC-1810) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1023) |
| 101YM0800X Counselor Mental Health (Licence: WY LPC-1810) | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |