NPI | 1639187099 |
---|---|
Former Name | GINNA ALENE MARLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2183) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42512) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2010-02-17 |