| NPI | 1881947703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC1437) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC698) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2022-02-21 |