| NPI | 1518557248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1228) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-2096) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2023-03-07 |