| NPI | 1639497613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1634) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 178) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2018-03-07 |