| NPI | 1679027155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELAIDE WILSON Owner Member 307-337-8247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY 145) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |