| 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 |