| NPI | 1710463716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY B THOMPSON Owner/Provider 307-275-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-206) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-03-28 |