NPI | 1982144614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1905) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC1043) |
101YM0800X Counselor, Mental Health (Licence: WY LPC-1905) | |
Enumeration Date | 2017-02-28 |
Last Update Date | 2023-10-27 |