| NPI | 1467813717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WY LPC-1904) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WY PPC-1046) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2020-11-05 |