| NPI | 1588390983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2373) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-1367) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-04-10 |