| NPI | 1518442896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1871) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1105) |
| 103TC0700X Psychologist, Clinical (Licence: WY LPC-1871) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2021-06-08 |