| NPI | 1538542220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101YM0800X Counselor, Mental Health (Licence: WY ppc-908) | |
| 101YP2500X Counselor, Professional (Licence: WY ppc-908) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2016-06-16 |