| NPI | 1972094043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0014318) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 14318) |
| 101YP2500X Counselor Professional (Licence: WY LPC-3000) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-07-06 |