| NPI | 1639575533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1789) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY CSSP-13) |
| 101YM0800X Counselor, Mental Health (Licence: WY CSSP-13) | |
| 251B00000X Case Management | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2019-06-16 |