| NPI | 1912491549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC1845) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017920) |
| 101YM0800X Counselor, Mental Health (Licence: WY PPC1069) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-06-27 |