| NPI | 1811408974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1783) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1054-3-1-20-492) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-12-04 |