| NPI | 1467601088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY PPC-1124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY PPC-1124) |
| 101YM0800X Counselor, Mental Health (Licence: WY PPC-1124) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2019-09-24 |