NPI | 1225293178 |
---|---|
Other Name | WENDY M TKACHUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 100.0134012) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1858) |
106H00000X Marriage & Family Therapist (Licence: CA MFC 45904) | |
Enumeration Date | 2008-07-21 |
Last Update Date | 2023-09-20 |