| NPI | 1760953947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1687) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 4357) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2020-12-18 |