| NPI | 1922232800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1132) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 1132) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2019-07-24 |