| NPI | 1457608473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC 829) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC829) |
| 101Y00000X Counselor (Licence: WY LPC 829) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2020-11-20 |