| NPI | 1366771529 |
|---|---|
| Former Name | RUTH ELLEN DUSENBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT15555) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45364) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2021-04-02 |