| NPI | 1871984476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1623) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC-873) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2016-12-21 |