| NPI | 1982273298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1968) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-1110) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-07-26 |