| NPI | 1639765233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WY LPC-2303) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: WY PPC-1290) | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-07-09 |