| NPI | 1932605268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1792) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PPC-981) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2022-01-18 |