| NPI | 1568757003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY 1299) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-584) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-11-24 |