| NPI | 1891189619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 012219) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC - 772) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2025-01-17 |