| NPI | 1629306303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY PMFT 229) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY 251C00000X) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |