| NPI | 1760823017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1940) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC0021919) |
| 174400000X Specialist (Licence: DC 08-170) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC-14200) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2025-10-13 |