| NPI | 1760041016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1934) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1130) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-11-02 |