| NPI | 1508314295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0018285) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-750) |
| 101YP2500X Counselor, Professional (Licence: WY NCC 56957) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-11-02 |