NPI | 1285013193 |
---|---|
Former Name | ROBIN MICHAEL KNUTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001723) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 10045A) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2020-02-01 |