| 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 | 2018-05-01 |