| NPI | 1932484763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC-1330) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-612) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2019-07-30 |