| NPI | 1699303826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1890) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 42785) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2021-01-06 |