| NPI | 1992176374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY PPC 910) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WY PMFT-276) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2019-03-21 |