| NPI | 1154455293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-215) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 091) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-05-21 |