NPI | 1518476373 |
---|---|
Former Name | LINDSAY ANNE RENFRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1185) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2021-06-07 |