| NPI | 1871709428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY LMFT-133) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1211) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-11-07 |