NPI | 1447597273 |
---|---|
Former Name | NAOMI JESSICA DUGGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2732) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 595) |
106H00000X Marriage & Family Therapist (Licence: KS 2423) | |
Enumeration Date | 2013-01-14 |
Last Update Date | 2021-03-17 |