| NPI | 1417257734 |
|---|---|
| Former Name | AUDRA GENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 815) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2014-08-13 |