| NPI | 1558734939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1753) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1004) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2018-11-26 |