NPI | 1245605666 |
---|---|
Former Name | KATHLEEN GREINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1418) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 90423) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2022-04-05 |