| NPI | 1578954186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1665) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1665) |
| 101Y00000X Counselor (Licence: WY LPC-1665) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LPC-1665) | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2026-04-29 |