| NPI | 1689971202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1590) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014314) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2022-04-15 |