| NPI | 1902924848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 465) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-465) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-12-01 |