| NPI | 1649416181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC 730) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE LMHP 599) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2024-11-03 |