| NPI | 1427487719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY PP791) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY PMFT263) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |