| NPI | 1851023063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1319) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-1318) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-10-04 |