| NPI | 1730154683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 292) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-09-10 |