NPI | 1952723066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1720) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY 966) |
Enumeration Date | 2014-01-08 |
Last Update Date | 2024-06-06 |