| NPI | 1639624935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1597) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MO PY01580) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |