| NPI | 1881773083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC894) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC #894) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2012-10-10 |