NPI | 1588952469 |
---|---|
Former Name | CHRISTINE MICHELLE WENGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 07170001423) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2018-10-15 |