| NPI | 1790189165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1607) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 855) |
| 101Y00000X Counselor (Licence: WY 1607) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2024-07-18 |