| NPI | 1962781765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1373) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-599) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2024-04-24 |