| NPI | 1962644427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1064) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1064) |
| 101Y00000X Counselor (Licence: WY 1064) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2021-06-23 |