| 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 |