NPI | 1679827000 |
---|---|
Former Name | LEANE ELAINE WINGERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT94201) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-11-07 |
Last Update Date | 2018-01-26 |