NPI | 1356858443 |
---|---|
Former Name | LAUREN REBECCA CAPENER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61111568) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60883783) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2021-01-25 |