| NPI | 1851722482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY PPC-1190) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2022-07-12 |