| NPI | 1831758275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2016) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-1119) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-05-01 |