| NPI | 1548703150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC1835) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008061) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014385) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0013596) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2022-12-07 |