| NPI | 1902080351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0158751) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-381) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2022-01-26 |