NPI | 1669020145 |
---|---|
Former Name | MIRANDA YIENGST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-08-28 |
Last Update Date | 2024-08-16 |