| NPI | 1699702464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1714) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005932) |
| 101YP2500X Counselor, Professional (Licence: NC 5158) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-11-12 |