NPI | 1346440161 |
---|---|
Former Name | SAGE KATHERINE ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61205112) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID 2676) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2022-04-19 |