NPI | 1255980553 |
---|---|
Former Name | LAUREN NICOLE TRITTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60973292) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 60973292) |
Enumeration Date | 2019-09-09 |
Last Update Date | 2021-01-06 |