| NPI | 1780090407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC-847) |
| 171M00000X Case Manager/Care Coordinator | |
| 101YP2500X Counselor, Professional (Licence: WY PPC-847) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2016-02-18 |