| NPI | 1649921784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1943) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5164-R) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-11-03 |