| NPI | 1750062600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0021824) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1385) |
| 101YM0800X Counselor, Mental Health (Licence: WY PPC-1385) | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2024-09-04 |