| NPI | 1982733283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC-1249) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00394) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2011-10-19 |