| NPI | 1609105030 |
|---|---|
| Former Name | KENDRA WOLVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 00367) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9039) |
| 106H00000X Marriage & Family Therapist (Licence: NE 32) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2023-04-06 |