| NPI | 1467041707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017118) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-1685) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2022-02-01 |