NPI | 1487705976 |
---|---|
Former Name | MARGARET JO STANGL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000210) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001599) |
Enumeration Date | 2007-01-13 |
Last Update Date | 2012-07-29 |