| NPI | 1528795689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 1509) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2026-03-30 |