NPI | 1265884811 |
---|---|
Former Name | KATHRYN SCOTT WIENCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123703) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-07-07 |
Last Update Date | 2022-06-15 |