| NPI | 1962638908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC #1214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC #1214) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2012-10-10 |