| NPI | 1811034572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2063) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1142) |
| 101Y00000X Counselor (Licence: WY LPC-2063) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 01-11-115) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-07-20 |