| 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 |