| NPI | 1679018352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0015641) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-1751) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-10-28 |