| NPI | 1477931962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT LCPC-44186) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-1833) |
| 101YS0200X Counselor, School | |
| 171M00000X Case Manager/Care Coordinator (Licence: WY LPC-1833) | |
| 172V00000X Community Health Worker (Licence: WY LPC-1833) | |
| 174400000X Specialist (Licence: WY LPC-1833) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health (Licence: WY LPC-1833) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2025-06-10 |