| NPI | 1851543938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-810) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC1076) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |