| NPI | 1649436288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC-787) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4815) |
| 101YP2500X Counselor, Professional (Licence: WY LPC-787) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2024-02-08 |