| NPI | 1538493598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 552) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 552) |
| 103TS0200X Psychologist, School (Licence: WY 14910) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2013-01-25 |