| NPI | 1326772989 |
|---|---|
| Former Name | MISSY LEIGH WHITE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61328543) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 20-217) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-01-13 |