| NPI | 1558007682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: WY 61341) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1878) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-09-28 |