| NPI | 1871746081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC-1489) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 000964) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2017-03-14 |