| NPI | 1851799449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1667) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-950) |
| 101Y00000X Counselor (Licence: WY LPC-1667) | |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2018-05-21 |