| NPI | 1932535465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor (Licence: WY LPC-1499) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2018-11-01 |