| NPI | 1649692195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1467) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0019990) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2024-05-21 |