| NPI | 1467726513 |
|---|---|
| Former Name | WENDY WIKUM GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC1397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 653) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2017-02-16 |