| NPI | 1245496231 |
|---|---|
| Former Name | TONYA DEETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0599) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2169) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2021-09-23 |