NPI | 1306828892 |
---|---|
Former Name | LINDA MARIE MAGIERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2013015031) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 01120) |
106H00000X Marriage & Family Therapist (Licence: KS 070) | |
Enumeration Date | 2005-11-18 |
Last Update Date | 2020-08-31 |