NPI | 1023338837 |
---|---|
Former Name | LEILANI RAY KEATOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WY 254) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 913) |
106H00000X Marriage & Family Therapist (Licence: HI 240) | |
Enumeration Date | 2010-06-03 |
Last Update Date | 2024-11-11 |