| NPI | 1689096901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1585) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-798) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2023-11-09 |