| NPI | 1376789198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-505) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-072) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2015-11-19 |