NPI | 1225504137 |
---|---|
Former Name | PATRICIA LYNN GARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61236100) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA MG61006925) |
Enumeration Date | 2018-10-17 |
Last Update Date | 2022-10-24 |