| NPI | 1982258760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC-2051) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: WY PPC-1209) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2022-06-21 |