| NPI | 1962909127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GASKILL CEO 307-414-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY PMFT-284) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |